Irene M. Soucy, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

20100312122 Issued in DE

Practice address

600 N Broad St Ste 1
Middletown, DE 19709-1032

Phone

(302) 376-3060

NPI assigned

Mar 12, 2010

Last updated

Mar 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1912220336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 AUGUSTINE BLVD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092214",
            "telephone_number": "302-753-0560",
            "fax_number": "302-376-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BROAD ST STE 1",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091032",
            "telephone_number": "302-376-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCY",
        "first_name": "IRENE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "20100312122",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "DE",
            "license": "20100312122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Middletown, DE
• Providers in Middletown, DE by specialty
• Registered Dietitian in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.